ROGER L ZIMMERMAN (NPI# 1043319056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043319056 |
| Entity Type | Individual |
| Full Name | ROGER L ZIMMERMAN |
| Credential | D.D.S. |
| Practice Address |
464 S Hickory St Fond Du Lac WI 54935-5531 |
| Practice Telephone | 9209230111 |
| Practice Fax Number | 9209230366 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
5000111 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679797815 | Roger Zimmerman | Massage Therapist | 6035 Main St, Williamsville, NY 14221-6865 | 2007-04-12 |
| Street Address |
464 S HICKORY ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225137227 | Guy J Jensen | Dentist | 464 S Hickory St, Suite A, Fond Du Lac, WI 54935-5531 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225137227 | Guy J Jensen | Dentist | 464 S Hickory St, Suite A, Fond Du Lac, WI 54935-5531 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497098255 | Matthew James Midtling | Dentist | 840 N. 87th Streeth, Sargeant Health Center, Milwaukee, WI 53226 | 2013-03-30 |
| 1407057441 | George Chris Panos | Dentist | N 67 W 31027 Club Circle East, Hartland, WI 53029 | 2007-05-29 |
| 1275753659 | Apple Creek Oral Surgery, Sc | Dentist | 2410 East Evergreen Drive, Appleton, WI 54913 | 2007-04-26 |
| 1053440842 | Oakpark Dental - Platteville | Dentist | 1250 N Water St, Platteville, WI 53818-1450 | 2007-03-05 |
| 1225191067 | Ezedin M Sadeghi | Dentist | 8760 N Seneca Rd, Fox Point, WI 53217-2332 | 2006-12-19 |
| 1669558433 | Yeshwant B Rawal | Dentist | 1801 W Wisconsin Ave Rm 322, Milwaukee, WI 53233-2186 | 2006-10-27 |
| 1134235427 | Lmg, Inc | Dentist | 2626 N 76th Street, Suite 101, Wauwatosa, WI 53213-1137 | 2006-08-21 |
| 1730628330 | Lmg Inc | Dentist | 200 W Silver Spring Dr, Suite 310, Milwaukee, WI 53217-5059 | 2017-02-15 |
| 1891234498 | Lmg Inc | Dentist | 6211 Durand Ave, Suite 202, Mount Pleasant, WI 53406-4956 | 2017-02-15 |
| 1063951663 | Lmg Inc | Dentist | W3132 Van Roy Rd, Appleton, WI 54915-3982 | 2017-02-15 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.